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id=\u0022sec-1\u0022\u003E\u003Cp id=\u0022p-1\u0022\u003EThe improvement of healthcare quality and patient safety is at its heart a social act. I am particularly aware of this each year when I attend the International Forum on Quality and Safety in Health Care. In March 2009 in Berlin, I spent one of the most pleasurable evenings I can remember in a restaurant with colleagues from the UK, Sweden, Spain, Australia, Netherlands, Italy and the USA\u2014a group with whom I meet annually at the International Forum. We enjoyed a similar evening in Paris last year, and in Prague the year before that. I am inevitably the beneficiary of the learning that comes from such a diverse and expert international group. As I reflect on these gatherings, I am reminded that I am the beneficiary of many Socially Transmitted Discoveries (STDs) that are highlights of the annual Forum.\u003C\/p\u003E\u003C\/div\u003E\u003Cdiv class=\u0022section\u0022 id=\u0022sec-2\u0022\u003E\u003Ch2\u003ESTDS CAN BE PASSED INFORMALLY ACROSS NATIONAL BORDERS\u003C\/h2\u003E\u003Cp id=\u0022p-2\u0022\u003EI live in the USA. We Americans have a reputation for being quick to give advice. Fortunately, the USA now has national political leadership that counsels listening. The US healthcare system is a troubled enterprise,\u003Ca id=\u0022xref-ref-1-1\u0022 class=\u0022xref-bibr\u0022 href=\u0022#ref-1\u0022\u003E1\u003C\/a\u003E so we have a lot of listening to do. Granted, American medicine generally provides complex and valuable healthcare. Yet US healthcare per capita costs are about twice that of the next most costly system in developed countries, and its health outcomes are some of the worst.\u003Ca id=\u0022xref-ref-2-1\u0022 class=\u0022xref-bibr\u0022 href=\u0022#ref-2\u0022\u003E2\u003C\/a\u003E So, there is plenty of room for improvement. In this regard, Don Berwick\u003Ca id=\u0022xref-ref-3-1\u0022 class=\u0022xref-bibr\u0022 href=\u0022#ref-3\u0022\u003E3\u003C\/a\u003E taught me early in my improvement career that diffusion of innovation happens more quickly when we share and make use of the really good ideas that we learn from each other.\u003Ca id=\u0022xref-ref-4-1\u0022 class=\u0022xref-bibr\u0022 href=\u0022#ref-4\u0022\u003E4\u003C\/a\u003E Attendees from over 60 countries gathered in Berlin. Hence, the considerable value\u2014in this American\u2019s opinion\u2014of an American listening to the many knowledgeable colleagues who attend the International Forum each year.\u003Cdiv class=\u0022oas-ads oas-ads-mid pull-right\u0022\u003E\u003Cdiv id=\u0022dfp-ad-mpu-wrapper\u0022 class=\u0022dfp-tag-wrapper\u0022\u003E\n\n\u003Cdiv id=\u0022dfp-ad-mpu\u0022 class=\u0022dfp-tag-wrapper\u0022\u003E\n \u003Cscript type=\u0022text\/javascript\u0022\u003E\n googletag.cmd.push(function() {\n googletag.display(\u0022dfp-ad-mpu\u0022);\n });\n \u003C\/script\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003C\/p\u003E\u003C\/div\u003E\u003Cdiv class=\u0022section\u0022 id=\u0022sec-3\u0022\u003E\u003Ch2\u003EPLENARY AND POSTER SESSIONS, AND OTHER LEARNING SETTINGS\u003C\/h2\u003E\u003Cp id=\u0022p-3\u0022\u003EBut the formal parts of the Forum are also wonderful examples of colleagues who have reflected carefully on what they can teach the rest of us. For example, I would go anywhere to spend an hour learning from Trisha Greenhalgh, one of last year\u2019s plenary speakers. So, the hour spent listening to her in Berlin was absolutely memorable. You can see and hear her talk online at the Forum Site.\u003Ca id=\u0022xref-ref-5-1\u0022 class=\u0022xref-bibr\u0022 href=\u0022#ref-5\u0022\u003E5\u003C\/a\u003E Other plenary presentations are there as well. You will see what I mean about innovation and learning.\u003C\/p\u003E\u003Cp id=\u0022p-4\u0022\u003EIn addition to the plenary sessions, I also benefit generously from the many excellent original posters\u003Ca id=\u0022xref-ref-6-1\u0022 class=\u0022xref-bibr\u0022 href=\u0022#ref-6\u0022\u003E6\u003C\/a\u003E and breakout sessions. But I confess the real value for me in a meeting like this is the social interaction where I can learn, question and discuss. Restaurants are certainly excellent venues for learning, but there is much to learn in chance encounters with colleagues in the hallways and coffee and tea breaks. This is where STDs abound. Truth be told, I have a colleague from Cleveland who confesses that his principal strategy for attending most large meetings like the Forum is to stake out a space at coffee and tea breaks, and then wait for colleagues to arrive and catch up with what has transpired in their institutions over the previous year.\u003C\/p\u003E\u003C\/div\u003E\u003Cdiv class=\u0022section\u0022 id=\u0022sec-4\u0022\u003E\u003Ch2\u003EINNOVATE TO SAVE MEETING COSTS\u003C\/h2\u003E\u003Cp id=\u0022p-5\u0022\u003EThe Forum is, of necessity\u2014like most large international conferences\u2014expensive to host, so the BMJ and IHI must levy a sufficient attendance fee to meet these costs. It also costs a lot for attendees to travel to the meeting. I have learnt some effective cost-saving innovations over the years. For example, I know of many colleagues who always submit their most recent work in well-crafted posters. If they have been accepted for the Program, they take them to their managers and\/or department leaders, and show them what they are doing to share their local success with others. Institutional leaders often are willing to contribute to support attending the Forum when such attendance adds to the good reputation of the institution. It often requires a deft negotiation, but it is the principal way that many delegates are able to raise funds to attend.\u003C\/p\u003E\u003Cp id=\u0022p-6\u0022\u003ESo, please go to the Forum website to see examples of successful abstracts from Berlin. Pick several that you think are particularly well presented. They provide opportunities to learn presentation strategies that you can use to present your own original work. The QIR\u003Ca id=\u0022xref-ref-7-1\u0022 class=\u0022xref-bibr\u0022 href=\u0022#ref-7\u0022\u003E7\u003C\/a\u003E and SQUIRE Publication Guidelines\u003Ca id=\u0022xref-ref-8-1\u0022 class=\u0022xref-bibr\u0022 href=\u0022#ref-8\u0022\u003E8\u003C\/a\u003E will also be helpful. They are intended for scholarly publications, but they can be adapted to presentation of original improvement work in abstract and poster formats as well.\u003C\/p\u003E\u003Cp id=\u0022p-7\u0022\u003EHere is another STD from last year. The Jonkoping County Council, Sweden, a particularly innovative healthcare system, is dealing with very difficult financial times like we all are. They are so good at healthcare quality improvement that they generally send dozens of improvement professionals to the Forum. In 2009, to save transportation costs, they chartered a motor coach, and all attendees travelled from Jonkoping County to Berlin together. I am told that, while en route, they inescapably spent countless hours working and learning from each other. And think of the krona they did not spend and the carbon they did not release into the atmosphere.\u003C\/p\u003E\u003C\/div\u003E\u003Cdiv class=\u0022section\u0022 id=\u0022sec-5\u0022\u003E\u003Ch2\u003EAN EDUCATIONAL INNOVATION: THE STUDENT FORUM\u003C\/h2\u003E\u003Cp id=\u0022p-8\u0022\u003EFinally, health profession students have unique opportunities for reducing their costs of attendance while taking advantage of learning opportunities that are specially targeted to their interests and professional level. There is now a Student Forum\u2014actually a Forum within a Forum\u2014organised by an international group of visionary educational leaders that include Michael Bergstrom and Jill Duncan.\u003Ca id=\u0022xref-ref-9-1\u0022 class=\u0022xref-bibr\u0022 href=\u0022#ref-9\u0022\u003E9\u003C\/a\u003E Students can benefit from learner-focused strategies, many of which are actually student-organised. Participants in the Student Forum have the opportunity to apply for scholarships to attend the larger Forum.\u003C\/p\u003E\u003C\/div\u003E\u003Cdiv class=\u0022section\u0022 id=\u0022sec-6\u0022\u003E\u003Ch2\u003E2010 INTERNATIONAL FORUM IN NICE\u003C\/h2\u003E\u003Cp id=\u0022p-9\u0022\u003EAs a confirmed introvert, it always surprises me how much I enjoy the Socially Transmitted Discoveries that I acquire at the annual International Forum for Quality and Safety in Health Care. I anticipate that the 2010 Forum in Nice will be no exception.\u003Ca id=\u0022xref-ref-10-1\u0022 class=\u0022xref-bibr\u0022 href=\u0022#ref-10\u0022\u003E10\u003C\/a\u003E I hope to see you there.\u003C\/p\u003E\u003C\/div\u003E\u003Cdiv class=\u0022section ack\u0022 id=\u0022ack-1\u0022\u003E\u003Ch2\u003EAcknowledgments\u003C\/h2\u003E\u003Cp id=\u0022p-10\u0022\u003EIn the spirit of transparency, the author shamelessly \u201cborrowed\u201d the idea for the title of this editorial from his friend, Dr Iris Litt\u2014then the Editor-in-Chief of \u003Cem\u003EThe Journal of Adolescent Health\u003C\/em\u003E\u2014while discussing writing and editing in a restaurant in San Diego, California.\u003Ca id=\u0022xref-ref-11-1\u0022 class=\u0022xref-bibr\u0022 href=\u0022#ref-11\u0022\u003E11\u003C\/a\u003E\u003C\/p\u003E\u003C\/div\u003E\u003Cdiv class=\u0022section ref-list\u0022 id=\u0022ref-list-1\u0022\u003E\u003Ch2\u003EREFERENCES\u003C\/h2\u003E\u003Col class=\u0022cit-list\u0022\u003E\u003Cli\u003E\u003Ca class=\u0022rev-xref-ref\u0022 href=\u0022#xref-ref-1-1\u0022 title=\u0022View reference 1 in text\u0022 id=\u0022ref-1\u0022\u003E\u21b5\u003C\/a\u003E\u003Cdiv class=\u0022cit ref-cit ref-journal\u0022 id=\u0022cit-18.4.242.1\u0022 data-doi=\u002210.1136\/bmj.39091.493588.BE\u0022\u003E\u003Cdiv class=\u0022cit-metadata\u0022\u003E\u003Col class=\u0022cit-auth-list\u0022\u003E\u003Cli\u003E\u003Cspan class=\u0022cit-auth\u0022\u003E\u003Cspan class=\u0022cit-name-surname\u0022\u003EDavis\u003C\/span\u003E \u003Cspan class=\u0022cit-name-given-names\u0022\u003EK\u003C\/span\u003E\u003C\/span\u003E\u003C\/li\u003E\u003C\/ol\u003E\u003Ccite\u003E. \u003Cspan class=\u0022cit-article-title\u0022\u003EUninsured in America: problems and possible solutions.\u003C\/span\u003E \u003Cabbr class=\u0022cit-jnl-abbrev\u0022\u003EBMJ\u003C\/abbr\u003E \u003Cspan class=\u0022cit-pub-date\u0022\u003E2007\u003C\/span\u003E;\u003Cspan class=\u0022cit-vol\u0022\u003E334\u003C\/span\u003E:\u003Cspan class=\u0022cit-fpage\u0022\u003E346\u003C\/span\u003E\u2013\u003Cspan class=\u0022cit-lpage\u0022\u003E8\u003C\/span\u003E.\u003C\/cite\u003E\u003C\/div\u003E\u003Cdiv class=\u0022cit-extra\u0022\u003E\u003Ca href=\u0022{openurl}?query=rft.jtitle%253DBMJ%26rft.stitle%253DBMJ%26rft.issn%253D0007-1447%26rft.aulast%253DDavis%26rft.auinit1%253DK.%26rft.volume%253D334%26rft.issue%253D7589%26rft.spage%253D346%26rft.epage%253D348%26rft.atitle%253DUninsured%2Bin%2BAmerica%253A%2Bproblems%2Band%2Bpossible%2Bsolutions%26rft_id%253Dinfo%253Adoi%252F10.1136%252Fbmj.39091.493588.BE%26rft_id%253Dinfo%253Apmid%252F17303883%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx\u0022 class=\u0022cit-ref-sprinkles cit-ref-sprinkles-openurl 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class=\u0022cit-name-given-names\u0022\u003EDM\u003C\/span\u003E\u003C\/span\u003E\u003C\/li\u003E\u003C\/ol\u003E\u003Ccite\u003E. \u003Cspan class=\u0022cit-article-title\u0022\u003EDisseminating innovations in health care.\u003C\/span\u003E \u003Cabbr class=\u0022cit-jnl-abbrev\u0022\u003EJAMA\u003C\/abbr\u003E \u003Cspan class=\u0022cit-pub-date\u0022\u003E2003\u003C\/span\u003E;\u003Cspan class=\u0022cit-vol\u0022\u003E289\u003C\/span\u003E:\u003Cspan class=\u0022cit-fpage\u0022\u003E1969\u003C\/span\u003E\u2013\u003Cspan class=\u0022cit-lpage\u0022\u003E75\u003C\/span\u003E.\u003C\/cite\u003E\u003C\/div\u003E\u003Cdiv class=\u0022cit-extra\u0022\u003E\u003Ca 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cit-ref-sprinkles-crossref\u0022\u003E\u003Cspan\u003ECrossRef\u003C\/span\u003E\u003C\/a\u003E\u003Ca href=\u0022\/lookup\/external-ref?access_num=12697800\u0026amp;link_type=MED\u0026amp;atom=%2Fqhc%2F18%2F4%2F242.atom\u0022 class=\u0022cit-ref-sprinkles cit-ref-sprinkles-medline\u0022\u003E\u003Cspan\u003EPubMed\u003C\/span\u003E\u003C\/a\u003E\u003Ca href=\u0022\/lookup\/external-ref?access_num=000182253900030\u0026amp;link_type=ISI\u0022 class=\u0022cit-ref-sprinkles cit-ref-sprinkles-newisilink cit-ref-sprinkles-webofscience\u0022\u003E\u003Cspan\u003EWeb of Science\u003C\/span\u003E\u003C\/a\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/li\u003E\u003Cli\u003E\u003Ca class=\u0022rev-xref-ref\u0022 href=\u0022#xref-ref-4-1\u0022 title=\u0022View reference 4 in text\u0022 id=\u0022ref-4\u0022\u003E\u21b5\u003C\/a\u003E\u003Cdiv class=\u0022cit ref-cit ref-book\u0022 id=\u0022cit-18.4.242.4\u0022\u003E\u003Cdiv class=\u0022cit-metadata\u0022\u003E\u003Col class=\u0022cit-auth-list\u0022\u003E\u003Cli\u003E\u003Cspan class=\u0022cit-auth\u0022\u003E\u003Cspan class=\u0022cit-name-surname\u0022\u003ERogers\u003C\/span\u003E \u003Cspan class=\u0022cit-name-given-names\u0022\u003EEM\u003C\/span\u003E\u003C\/span\u003E\u003C\/li\u003E\u003C\/ol\u003E\u003Ccite\u003E. \u003Cspan class=\u0022cit-source\u0022\u003EDiffusion of innovations\u003C\/span\u003E. \u003Cspan class=\u0022cit-comment\u0022\u003E5th edn.\u003C\/span\u003E \u003Cspan class=\u0022cit-publ-loc\u0022\u003ENew York\u003C\/span\u003E: \u003Cspan class=\u0022cit-publ-name\u0022\u003EFree Press\u003C\/span\u003E, \u003Cspan class=\u0022cit-pub-date\u0022\u003E2003\u003C\/span\u003E;\u003Cspan class=\u0022cit-vol\u0022\u003E551\u003C\/span\u003E:\u003Cspan class=\u0022cit-fpage\u0022\u003E22\u003C\/span\u003E.\u003C\/cite\u003E\u003C\/div\u003E\u003Cdiv class=\u0022cit-extra\u0022\u003E\u003Ca href=\u0022{openurl}?query=rft.jtitle%253DDiffusion%2Bof%2Binnovations%26rft.volume%253D551%26rft.spage%253D22%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx\u0022 class=\u0022cit-ref-sprinkles cit-ref-sprinkles-openurl cit-ref-sprinkles-open-url\u0022\u003E\u003Cspan\u003EOpenUrl\u003C\/span\u003E\u003C\/a\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/li\u003E\u003Cli\u003E\u003Ca class=\u0022rev-xref-ref\u0022 href=\u0022#xref-ref-5-1\u0022 title=\u0022View reference 5 in text\u0022 id=\u0022ref-5\u0022\u003E\u21b5\u003C\/a\u003E\u003Cdiv class=\u0022cit ref-cit ref-journal\u0022 id=\u0022cit-18.4.242.5\u0022\u003E\u003Cdiv class=\u0022cit-metadata\u0022\u003E\u003Col class=\u0022cit-auth-list\u0022\u003E\u003Cli\u003E\u003Cspan class=\u0022cit-auth\u0022\u003E\u003Cspan class=\u0022cit-name-surname\u0022\u003EGreenhalgh\u003C\/span\u003E \u003Cspan class=\u0022cit-name-given-names\u0022\u003ET\u003C\/span\u003E\u003C\/span\u003E\u003C\/li\u003E\u003C\/ol\u003E\u003Ccite\u003E. \u003Cspan class=\u0022cit-article-title\u0022\u003ETransforming whole systems: in search of theory and method.\u003C\/span\u003E \u003Cspan class=\u0022cit-comment\u0022\u003E\u003Ca href=\u0022http:\/\/axisto.com\/webcasting\/bmj\/berlin-2009\/plenary-3\/index.htm\u0022\u003Ehttp:\/\/axisto.com\/webcasting\/bmj\/berlin-2009\/plenary-3\/index.htm\u003C\/a\u003E (accessed 5 July 2009)\u003C\/span\u003E.\u003C\/cite\u003E\u003C\/div\u003E\u003Cdiv class=\u0022cit-extra\u0022\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/li\u003E\u003Cli\u003E\u003Ca class=\u0022rev-xref-ref\u0022 href=\u0022#xref-ref-6-1\u0022 title=\u0022View reference 6 in text\u0022 id=\u0022ref-6\u0022\u003E\u21b5\u003C\/a\u003E\u003Cdiv class=\u0022cit ref-cit ref-journal\u0022 id=\u0022cit-18.4.242.6\u0022\u003E\u003Cdiv class=\u0022cit-metadata\u0022\u003E\u003Ccite\u003E\u003Cspan class=\u0022cit-article-title\u0022\u003EInternational Forum on Quality and Safety in Health Care website.\u003C\/span\u003E \u003Cspan class=\u0022cit-comment\u0022\u003E\u003Ca href=\u0022http:\/\/internationalforum.bmj.com\/2010-forum\/international-forum-posters\u0022\u003Ehttp:\/\/internationalforum.bmj.com\/2010-forum\/international-forum-posters\u003C\/a\u003E (accessed 5 July 2009)\u003C\/span\u003E.\u003C\/cite\u003E\u003C\/div\u003E\u003Cdiv class=\u0022cit-extra\u0022\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/li\u003E\u003Cli\u003E\u003Ca class=\u0022rev-xref-ref\u0022 href=\u0022#xref-ref-7-1\u0022 title=\u0022View reference 7 in text\u0022 id=\u0022ref-7\u0022\u003E\u21b5\u003C\/a\u003E\u003Cdiv class=\u0022cit ref-cit ref-journal\u0022 id=\u0022cit-18.4.242.7\u0022\u003E\u003Cdiv class=\u0022cit-metadata\u0022\u003E\u003Col class=\u0022cit-auth-list\u0022\u003E\u003Cli\u003E\u003Cspan class=\u0022cit-auth\u0022\u003E\u003Cspan class=\u0022cit-name-surname\u0022\u003EMoss\u003C\/span\u003E \u003Cspan class=\u0022cit-name-given-names\u0022\u003EF\u003C\/span\u003E\u003C\/span\u003E, \u003C\/li\u003E\u003Cli\u003E\u003Cspan class=\u0022cit-auth\u0022\u003E\u003Cspan class=\u0022cit-name-surname\u0022\u003EThomson\u003C\/span\u003E \u003Cspan class=\u0022cit-name-given-names\u0022\u003ERG\u003C\/span\u003E\u003C\/span\u003E\u003C\/li\u003E\u003C\/ol\u003E\u003Ccite\u003E. \u003Cspan class=\u0022cit-article-title\u0022\u003EA new structure for quality improvement reports.\u003C\/span\u003E \u003Cabbr class=\u0022cit-jnl-abbrev\u0022\u003EQual Health Care\u003C\/abbr\u003E \u003Cspan class=\u0022cit-pub-date\u0022\u003E1999\u003C\/span\u003E;\u003Cspan class=\u0022cit-vol\u0022\u003E8\u003C\/span\u003E:\u003Cspan class=\u0022cit-fpage\u0022\u003E76\u003C\/span\u003E.\u003C\/cite\u003E\u003C\/div\u003E\u003Cdiv class=\u0022cit-extra\u0022\u003E\u003Ca href=\u0022{openurl}?query=rft.jtitle%253DBMJ%2BQuality%2B%2526%2BSafety%26rft.stitle%253DBMJQS%26rft.issn%253D0963-8172%26rft.aulast%253DMoss%26rft.auinit1%253DF%26rft.volume%253D8%26rft.issue%253D2%26rft.spage%253D76%26rft.epage%253D76%26rft.atitle%253DA%2Bnew%2Bstructure%2Bfor%2Bquality%2Bimprovement%2Breports%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx\u0022 class=\u0022cit-ref-sprinkles cit-ref-sprinkles-openurl cit-ref-sprinkles-open-url\u0022\u003E\u003Cspan\u003EOpenUrl\u003C\/span\u003E\u003C\/a\u003E\u003Ca href=\u0022\/lookup\/external-ref?access_num=000081164800003\u0026amp;link_type=ISI\u0022 class=\u0022cit-ref-sprinkles cit-ref-sprinkles-newisilink cit-ref-sprinkles-webofscience\u0022\u003E\u003Cspan\u003EWeb of Science\u003C\/span\u003E\u003C\/a\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/li\u003E\u003Cli\u003E\u003Ca class=\u0022rev-xref-ref\u0022 href=\u0022#xref-ref-8-1\u0022 title=\u0022View reference 8 in text\u0022 id=\u0022ref-8\u0022\u003E\u21b5\u003C\/a\u003E\u003Cdiv class=\u0022cit ref-cit ref-journal\u0022 id=\u0022cit-18.4.242.8\u0022 data-doi=\u002210.1136\/qshc.2008.029066\u0022\u003E\u003Cdiv class=\u0022cit-metadata\u0022\u003E\u003Col class=\u0022cit-auth-list\u0022\u003E\u003Cli\u003E\u003Cspan class=\u0022cit-auth\u0022\u003E\u003Cspan class=\u0022cit-name-surname\u0022\u003EDavidoff\u003C\/span\u003E \u003Cspan class=\u0022cit-name-given-names\u0022\u003EF\u003C\/span\u003E\u003C\/span\u003E, \u003C\/li\u003E\u003Cli\u003E\u003Cspan class=\u0022cit-auth\u0022\u003E\u003Cspan class=\u0022cit-name-surname\u0022\u003EBatalden\u003C\/span\u003E \u003Cspan class=\u0022cit-name-given-names\u0022\u003EP\u003C\/span\u003E\u003C\/span\u003E, \u003C\/li\u003E\u003Cli\u003E\u003Cspan class=\u0022cit-auth\u0022\u003E\u003Cspan class=\u0022cit-name-surname\u0022\u003EStevens\u003C\/span\u003E \u003Cspan class=\u0022cit-name-given-names\u0022\u003ED\u003C\/span\u003E\u003C\/span\u003E, \u003C\/li\u003E\u003Cli\u003E\u003Cspan class=\u0022cit-etal\u0022\u003Eet al\u003C\/span\u003E\u003C\/li\u003E\u003C\/ol\u003E\u003Ccite\u003E. \u003Cspan class=\u0022cit-article-title\u0022\u003EPublication guidelines for quality improvement in health care: evolution of the SQUIRE project.\u003C\/span\u003E \u003Cabbr class=\u0022cit-jnl-abbrev\u0022\u003EQual Saf Health Care\u003C\/abbr\u003E \u003Cspan class=\u0022cit-pub-date\u0022\u003E2008\u003C\/span\u003E;\u003Cspan class=\u0022cit-vol\u0022\u003E17\u003C\/span\u003E\u003Cspan class=\u0022cit-issue\u0022\u003E(1 Suppl)\u003C\/span\u003E:\u003Cspan class=\u0022cit-fpage\u0022\u003Ei3\u003C\/span\u003E\u2013\u003Cspan class=\u0022cit-lpage\u0022\u003E9\u003C\/span\u003E.\u003C\/cite\u003E\u003C\/div\u003E\u003Cdiv class=\u0022cit-extra\u0022\u003E\u003Ca href=\u0022{openurl}?query=rft.jtitle%253DBMJ%2BQuality%2B%2526%2BSafety%26rft.stitle%253DBMJQS%26rft.issn%253D0963-8172%26rft.aulast%253DDavidoff%26rft.auinit1%253DF%26rft.volume%253D17%26rft.issue%253DSuppl_1%26rft.spage%253Di3%26rft.epage%253Di9%26rft.atitle%253DPublication%2Bguidelines%2Bfor%2Bquality%2Bimprovement%2Bin%2Bhealth%2Bcare%253A%2Bevolution%2Bof%2Bthe%2BSQUIRE%2Bproject%26rft_id%253Dinfo%253Adoi%252F10.1136%252Fqshc.2008.029066%26rft_id%253Dinfo%253Apmid%252F18836063%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx\u0022 class=\u0022cit-ref-sprinkles cit-ref-sprinkles-openurl cit-ref-sprinkles-open-url\u0022\u003E\u003Cspan\u003EOpenUrl\u003C\/span\u003E\u003C\/a\u003E\u003Ca href=\u0022\/lookup\/ijlink\/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiQUJTVCI7czoxMToiam91cm5hbENvZGUiO3M6MzoicWhjIjtzOjU6InJlc2lkIjtzOjEzOiIxNy9TdXBwbF8xL2kzIjtzOjQ6ImF0b20iO3M6MTg6Ii9xaGMvMTgvNC8yNDIuYXRvbSI7fXM6ODoiZnJhZ21lbnQiO3M6MDoiIjt9\u0022 class=\u0022cit-ref-sprinkles cit-ref-sprinkles-ijlink\u0022\u003E\u003Cspan\u003E\u003Cspan class=\u0022cit-reflinks-abstract\u0022\u003EAbstract\u003C\/span\u003E\u003Cspan class=\u0022cit-sep cit-reflinks-variant-name-sep\u0022\u003E\/\u003C\/span\u003E\u003Cspan class=\u0022cit-reflinks-full-text\u0022\u003E\u003Cspan class=\u0022free-full-text\u0022\u003EFREE \u003C\/span\u003EFull Text\u003C\/span\u003E\u003C\/span\u003E\u003C\/a\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/li\u003E\u003Cli\u003E\u003Ca class=\u0022rev-xref-ref\u0022 href=\u0022#xref-ref-9-1\u0022 title=\u0022View reference 9 in text\u0022 id=\u0022ref-9\u0022\u003E\u21b5\u003C\/a\u003E\u003Cdiv class=\u0022cit ref-cit ref-journal\u0022 id=\u0022cit-18.4.242.9\u0022\u003E\u003Cdiv class=\u0022cit-metadata\u0022\u003E\u003Ccite\u003E\u003Cspan class=\u0022cit-article-title\u0022\u003EInternational Forum on Quality and Safety in Health Care website.\u003C\/span\u003E \u003Cspan class=\u0022cit-comment\u0022\u003E\u003Ca href=\u0022http:\/\/internationalforum.bmj.com\/2010-forum\/2009-student-experience\u0022\u003Ehttp:\/\/internationalforum.bmj.com\/2010-forum\/2009-student-experience\u003C\/a\u003E (accessed 5 July 2009)\u003C\/span\u003E.\u003C\/cite\u003E\u003C\/div\u003E\u003Cdiv class=\u0022cit-extra\u0022\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/li\u003E\u003Cli\u003E\u003Ca class=\u0022rev-xref-ref\u0022 href=\u0022#xref-ref-10-1\u0022 title=\u0022View reference 10 in text\u0022 id=\u0022ref-10\u0022\u003E\u21b5\u003C\/a\u003E\u003Cdiv class=\u0022cit ref-cit ref-journal\u0022 id=\u0022cit-18.4.242.10\u0022\u003E\u003Cdiv class=\u0022cit-metadata\u0022\u003E\u003Ccite\u003E\u003Cspan class=\u0022cit-article-title\u0022\u003EInternational Forum on Quality and Safety in Health Care website.\u003C\/span\u003E \u003Cspan class=\u0022cit-comment\u0022\u003E\u003Ca href=\u0022http:\/\/internationalforum.bmj.com\/\u0022\u003Ehttp:\/\/internationalforum.bmj.com\/\u003C\/a\u003E (accessed 29 Jun 2009)\u003C\/span\u003E.\u003C\/cite\u003E\u003C\/div\u003E\u003Cdiv class=\u0022cit-extra\u0022\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/li\u003E\u003Cli\u003E\u003Ca class=\u0022rev-xref-ref\u0022 href=\u0022#xref-ref-11-1\u0022 title=\u0022View reference 11 in text\u0022 id=\u0022ref-11\u0022\u003E\u21b5\u003C\/a\u003E\u003Cdiv class=\u0022cit ref-cit ref-journal\u0022 id=\u0022cit-18.4.242.11\u0022 data-doi=\u002210.1016\/S1054-139X(96)00305-9\u0022\u003E\u003Cdiv class=\u0022cit-metadata\u0022\u003E\u003Col class=\u0022cit-auth-list\u0022\u003E\u003Cli\u003E\u003Cspan class=\u0022cit-auth\u0022\u003E\u003Cspan class=\u0022cit-name-surname\u0022\u003ELitt\u003C\/span\u003E \u003Cspan class=\u0022cit-name-given-names\u0022\u003EIF\u003C\/span\u003E\u003C\/span\u003E\u003C\/li\u003E\u003C\/ol\u003E\u003Ccite\u003E. \u003Cspan class=\u0022cit-article-title\u0022\u003E\u201cIt couldn\u2019t happen to me\u201d: contracting an STD in Paris.\u003C\/span\u003E \u003Cabbr class=\u0022cit-jnl-abbrev\u0022\u003EJ Adolesc Health\u003C\/abbr\u003E \u003Cspan class=\u0022cit-pub-date\u0022\u003E1997\u003C\/span\u003E;\u003Cspan class=\u0022cit-vol\u0022\u003E20\u003C\/span\u003E:\u003Cspan class=\u0022cit-fpage\u0022\u003E1\u003C\/span\u003E.\u003C\/cite\u003E\u003C\/div\u003E\u003Cdiv class=\u0022cit-extra\u0022\u003E\u003Ca href=\u0022{openurl}?query=rft.jtitle%253DJ%2BAdolesc%2BHealth%26rft.volume%253D20%26rft.spage%253D1%26rft_id%253Dinfo%253Adoi%252F10.1016%252FS1054-139X%252896%252900305-9%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx\u0022 class=\u0022cit-ref-sprinkles cit-ref-sprinkles-openurl cit-ref-sprinkles-open-url\u0022\u003E\u003Cspan\u003EOpenUrl\u003C\/span\u003E\u003C\/a\u003E\u003Ca href=\u0022\/lookup\/external-ref?access_num=10.1016\/S1054-139X(96)00305-9\u0026amp;link_type=DOI\u0022 class=\u0022cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref\u0022\u003E\u003Cspan\u003ECrossRef\u003C\/span\u003E\u003C\/a\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/li\u003E\u003C\/ol\u003E\u003C\/div\u003E\u003Cspan class=\u0022highwire-journal-article-marker-end\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cspan 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